Anesthesia for TKR
I am trying to understand the assignment of SI=C to 01412 anesthesia for total knee arthroplasty.
I understand that if the surgery is performed then anesthesia is packaged. But if the patient is planned for a total knee arthroplasty as outpatient, anesthesia is initiated but the surgery is cancelled before the surgery itself commences, and the patient is awakened and sent home, I do not understand how the anesthesia would be billed. If 01412 on an outpatient claim it will deny. The patient cannot be admitted as inpatient solely to allow the code to be paid.
Can anyone explain that to me? It is so confusing.
This was just posted in the July IOCE update https://revenuecycleadvisor.com/news-analysis/july-ioce-update-payment-anesthesia-packaged-payment-tka-under-opps